Facility Evaluation Report
Capacity6
Census4
Date signed12/10/2024 03:59:24 PM
On this day at around 3pm, LPAs Luisa Fontanilla and K. Nguyen arrived unannounced to conduct a case management visit related to a death incident and met with Administrator Nicholas Marcelo and Katelyn Salvador. LPAs explained to the Administrator the purpose of the visit.
LPAs interviewed the Administrator and staff 1 (S1).
During the visit, LPAs obtained the following records for Client 1 (C1):
The written incident and death reports will be sent to CCL within (7) days.
A copy of this report was provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction